Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $29.75 / $47.58	Facility		$29.75	$29.75	$47.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $29.75 / $55.81	Professional		$21.15	$29.75	$55.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $33.29	Professional		$33.29	$33.29	$33.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $50.80 / $50.80	Facility		$50.80	$50.80	$50.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $50.80 / $56.50	Professional		$48.26	$50.80	$56.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $79.27	Facility		$34.61	$34.61	$79.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $72.04 / $77.19	Professional		$72.04	$72.04	$77.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $17.32 / $46.41	Professional		$14.89	$17.32	$46.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $29.75 / $41.65	Facility		$28.90	$29.75	$41.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $29.75 / $51.49	Professional		$28.90	$29.75	$51.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $32.94 / $39.61	Professional		$27.71	$32.94	$39.61
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $28.68 / $45.05	Professional		$18.11	$28.68	$45.05